Active NPI
James Leo Zolg
- Foster Care Agency
- Orlando, FL
National Provider Identifier
1649697103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foster Care Agency
- License
- 7G 427 A
- Practice address
- 3840 Cassia Dr
Orlando, FL 32828-7711 - Phone
- (407) 737-0926
- Fax
- (407) 737-0926
- NPI assigned
- Mar 23, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foster Care Agency | 253J00000X | 7G 427 A | FL | Primary |
Addresses
Primary practice location
3840 Cassia Dr
Orlando, FL 32828-7711
Mailing address
3840 Cassia Dr
Orlando, FL 32828-7711
Phone (407) 737-0926
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009876000 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7G 427 A | FL | MD | Foster Care Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395532800000",
"number": "1649697103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3840 CASSIA DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328287711",
"telephone_number": "407-737-0926",
"fax_number": "407-737-0926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3840 CASSIA DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328287711",
"telephone_number": "407-737-0926",
"fax_number": "407-737-0926"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZOLG",
"first_name": "JAMES",
"middle_name": "LEO",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-03-23",
"last_updated": "2014-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "253J00000X",
"taxonomy_group": "",
"desc": "Foster Care Agency",
"state": "FL",
"license": "7G 427 A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009876000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.